Vein

Vascular Surgery

Varicose & Spider Vein Treatment in Southwest Wisconsin

Treatments available include a full range of modern, minimally invasive options tailored to each patient’s needs. All procedures are performed in an outpatient setting with minimal downtime. Each treatment plan is individualized based on careful evaluation, with the goal of achieving durable symptom relief and improving overall vascular health.

Call to Make an Appointment

Mon – Fri

8:00 am – 5:00 pm

1450 Eastside Road, Platteville, WI
(1st Entrance)

(608) 342-6275

Providers

Common Signs & Symptoms

You may have vein disease if you notice:

  • Aching, heaviness, or tired legs
  • Swelling in the lower legs or ankles
  • Burning, throbbing, or itching sensations
  • Visible varicose veins (bulging, twisted veins)
  • Spider veins (small red or purple veins)
  • Leg discomfort that worsens with standing and improves with elevation

Skin Changes to Watch

As vein disease progresses, you may notice:

  • Darkening or discoloration around the ankles
  • Dry, itchy, or inflamed skin
  • Thickened or firm skin
  • Hard or tender areas under the skin
  • Open sores or wounds near the ankle (venous ulcers)

When Should You Seek Care?

Consider evaluation if you have:

  • Persistent leg pain, heaviness, or swelling
  • Worsening varicose veins
  • Skin discoloration or irritation
  • A wound on your leg that is slow to heal
  • Bleeding or painful, inflamed veins

Understanding Treatment Options for Varicose Veins

There is no one-size-fits-all approach. The best treatment depends on:

  • Your vein anatomy (determined by ultrasound)
  • Symptom severity
  • Prior treatments
  • Personal preferences

A personalized evaluation ensures the safest and most effective plan. Below are a few treatment options that patients can confidently seek with Dr. Fedorova.

VenaSeal™ (Medical Adhesive Closure)

How it works:
A medical adhesive is delivered into the vein to seal it closed.

Benefits:

  • No need for multiple numbing injections (no tumescent anesthesia)
  • Minimal discomfort during the procedure
  • No compression stockings required in many cases
  • Quick return to normal activities

Considerations:

  • Mild inflammation or tenderness can occur
  • Rare risk of localized allergic or inflammatory reaction
  • Slightly higher cost depending on insurance coverage

Outcomes:
High success rates (closure rates ~94–98%) with durable long-term results.

How it works:
Heat energy is delivered through a catheter to close the vein.

Benefits:

  • Well-established, widely used technique
  • Excellent long-term success rates
  • Covered by most insurance plans
  • Effective for larger veins

Considerations:

  • Requires tumescent anesthesia (multiple small injections)
  • Temporary bruising or soreness is common
  • Compression stockings typically recommended after treatment

Outcomes:
High success rates (~93–97%) with strong long-term data and symptom improvement.

How it works:
A specialized foam is injected into the vein under ultrasound guidance, causing it to collapse and close.

Benefits:

  • No incisions or heat required
  • Useful for tortuous, branching, or recurrent veins
  • Minimal anesthesia needed
  • Can treat veins not suitable for ablation

Considerations:

  • May require more than one treatment session
  • Compression stockings are often recommended
  • Temporary inflammation or trapped blood can occur

If you have questions or would like an evaluation, Southwest Health is here to help. 

Side-by-Side Comparison

FeatureVenaSeal™RFAVarithena®
Modern vein treatments are highly effective and minimally invasive. Early treatment not only improves symptoms and appearance but also helps prevent progression of vein disease.
Type of treatmentMedical adhesiveHeat-based ablationInjectable foam
Anesthesia neededMinimalTumescent anesthesiaMinimal
Compression stockingsOften not requiredUsually requiredUsually required
Recovery timeVery quickQuickQuick
Best forStraight veins, convenienceLarger veins, standard careTortuous or complex veins
Number of treatmentsUsually oneUsually oneSometimes multiple

Additional Treatments

Microstab Phlebectomy

  • Removes visible bulging veins through tiny incisions
  • Often combined with ablation
  • Excellent cosmetic results

Sclerotherapy

  • Injection treatment for spider and small varicose veins
  • Improves appearance and mild symptoms
  • May require multiple sessions

Risks (For All Treatments)

While generally safe, potential risks include:

  • Bruising, swelling, or discomfort
  • Skin discoloration
  • Inflammation of treated veins
  • Rare risk of blood clots or nerve irritation

Your provider will review your individual risk profile before treatment.

Vascular Surgeon,
Ekaterina Fedorova, MD

In addition to her broad surgical training, Dr. Fedorova has developed specialized expertise in the diagnosis and management of venous disease and is currently the only provider in the region offering a full spectrum of modern vein care. Dr. Fedorova utilizes a unique, multimodal strategy that combines advanced minimally invasive procedures—including ultrasound-guided interventions, endovenous ablation, microphlebectomy, and sclerotherapy – with surgical judgment to tailor care to each patient’s anatomy and disease severity.

She treats conditions using a comprehensive, patient-centered approach that goes beyond single-modality treatment including: 

  • varicose veins
  • chronic venous insufficiency
  • venous ulcers

Her approach focuses not only on treating visible veins but also on identifying and addressing the underlying sources of venous reflux to reduce recurrence and improve long-term outcomes.

By integrating multiple techniques into a cohesive treatment plan, Dr. Fedorova provides more complete and durable results than traditional approaches.

This level of specialized, comprehensive vein care is rarely available in rural settings.

If you have questions or would like an evaluation, Southwest Health is here to help. 

Do You Have Signs of Vein Disease?

Answer a few quick questions to understand your symptoms and whether it’s time to seek care.

1. Do you experience aching, heaviness, or tiredness in your legs?
2. Do your legs or ankles swell, especially by the end of the day?
3. Do you notice burning, throbbing, or itching in your legs?
4. Do you have visible varicose veins (bulging, twisted veins)?
5. Do you have spider veins (small red or purple veins)?
6. Does your leg discomfort worsen with standing and improve with elevation?
7. Have you noticed skin changes near your ankles (darkening, dryness, or irritation)?
8. Do you have any thickened, firm, or tender areas under the skin?
9. Do you have a wound or sore on your leg that is slow to heal?
10. Have you experienced any of the following recently? (Select all that apply)

If you have questions or would like an evaluation, Southwest Health is here to help. 

Contact us.

Complete the form below, and we’ll call you to schedule an appointment.